Wednesday, February 7, 2018

What are the Qualifiers for a Total Hip Replacement Surgery Washington DC?

In most instances, doctors seek to treat a problem with medicine, diet, and exercise before they consider surgery. This is also true when a patient possibly needs a total hip replacement in Washington, DC. Before your doctor decides to put you under the knife, they will look at factors such as; weight and age. Clearly, age is not a factor that can be adjusted, but your doctor may require you to lose a certain amount of weight before you qualify for a total hip replacement surgery in Washington, DC. The logic behind this is to allow your joints relief from extra weight to see if the problem will resolve itself. If it persists, then you will be scheduled for surgery. 

Many times, a patient will need a total hip replacement surgery in Washington, DC when they suffer from arthritis. In other cases, you can qualify for a total hip replacement surgery Washington, DC if your joints are bone on bone. This is an extreme form of arthritis that has most likely been progressing for quite some time. If this happens, it means all of the cushioning between your bones are gone. Nothing can be done to reverse this, so typically there is no hesitation to schedule a total hip replacement surgery in Washington, DC.

What is involved in a Total Hip Replacement Surgery in Washington, DC?

During a total hip replacement surgery Washington, DC, the diseased cartilage is removed and replaced with artificial material that simulates cartilage in most ways. If your hips were bone on bone, a very advanced case of arthritis, meaning all of the cartilage had been worn down, the surgeon would simply insert the artificial material where natural cartilage would typically go. This will prevent pain when moving, and make daily activities achievable. It is shocking the things people avoid because they are in pain. The ball of the hip joint is then replaced with a durable metal, which will be cushioned by the artificial cartilage to make movement feel most natural and painless.

Monday, January 22, 2018

ACL Reconstruction Surgery DC: What to Expect

When an individual has an accident that results in the anterior cruciate ligament (ACL) being torn away from the bones of the leg, and a fragment of bone is also fractured away from the main part, surgery is required to return the knee to its normal functions.  There are two types of surgery that are used to perform ACL Reconstruction Surgery DC.  They are arthroscopic surgery and open surgery.  Arthroscopic surgery is the preferred procedure for ACL repair DC.  It uses very small incisions for the surgeon to pass through a camera and surgical tools.  As unlikely as it might seem, the surgeon is actually able to view the internal structures of the knee better using the tiny camera than by making a large (open) incision and viewing them directly.  To learn more about ACL repair services DC click here.

ACL Repair Services DC

Steps involved in the an arthroscopic surgery to repair the ACL include the following:
  • The patient receives either a spinal or a general anesthesia.  Because this surgery is performed on a fairly localized area of the body, a spinal anesthesia can be used very successfully for patients who are not good candidates for general anesthesia or who may prefer not to undertake the inherent risks associated with it.
  • A local anesthetic is also introduced at the surgery site.
  • Several small incisions are made in different locations on the injured knee.  These usually total two are three.  Each one is less than an inch in length.
  • In order to see the internal structures of the knee more clearly, a saline solution is introduced through one of the incisions.  This serves to both wash away blood and open an area that is more easily viewed.
  • An arthroscope is inserted into one of the incisions.  It has a tiny camera attached that transmits pictures from the inside of the knee to a viewing screen in the operating room.
  • Surgical drills and other instruments are inserted and used to create a passage in the bones for the new ligament, which is then anchored in place with surgical screws.
  • Arthroscopic incisions are so small, only bandages are needed to close them.

Thursday, January 18, 2018

Medical Alternatives to Weight Loss Surgery Washington DC

Weight loss surgery Washington DC is one method by which a lot of folks who are obese choose to decrease body mass index (BMI).  But, what about folks who are afraid of having a risky surgical procedure?  About 5% of Bariatric surgery procedures DC involve serious complications up to, and including, death.  In addition, some folks who are extremely obese and need to lose weight the most often have complicating factors like heart disease or breathing problems that make them poor surgical candidates overall.  For some of these individuals, prescription weight loss drugs may be a part of the answer.

Pharmaceutical Intervention Instead of Bariatric Surgery DC

There is never one medical intervention that is the be-all-end-all in weight loss.  Even as technology and medical procedures advance, the basic formula for weight loss remains the same:  eat less and move more.  Medical interventions like Bariatric surgery options Washington DC, which are available through http://www.medstarwashington.org/, and prescription weight loss drugs are simply more tools to put in the weight reduction toolbox.  That is not to say they cannot be valuable tools.

So, what about prescription weight loss drugs as an alternative to surgery?  There are a few choices out there at this time.  Typically, the prescription of these drugs is limited to individuals whose body mass index (BMI) exceeds 30, or those whose BMI is over 27 and occurring along with a co-morbid condition like high blood pressure or diabetes. 

Prescription weight loss drugs may not be appropriate for those who are pregnant, planning to become pregnant or breast feeding.

One of the most popular weight loss drugs currently available is called Orlistat, or Xenical as a generic.  This drug is available either with or without a prescription.  As an over-the-counter product, it is called Alli.  Alli contains half of the dose of Xenical.  It works by blocking a certain amount of fat absorption. This type of weight loss drug has some side effects, which may include digestive disturbances like passing gas or loose bowel movements.  People who take this drug should use dietary supplements because some nutrient absorption will be lost along with fat absorption.  Following a diet that is less than 30% fat while taking this medication will help it to work best.

Sunday, January 14, 2018

Recovering from Total Hip Replacement Washington DC

Like many other medical procedures, having a Total hip replacement Washington DC has become easier and less complicated in recent years, owing to many technological and medical advances.  Artificial hips have also been improved to be a lot more functional and durable.  Recovering from hip replacement DC requires some care and attention to make sure that the new joint stays in place and functions as well as possible, which is what the professionals at http://www.medstarwashington.org/ do.

After Total Hip Replacement DC

The time it takes to recover from a hip replacement surgery is somewhat dependent on the kind of surgery that was performed.  Some surgeries require quite a large incision that will take a greater amount of time to heal.  In other cases, the hip joint can be replaced through a relatively smaller incision that will heal more quickly.  In either instance, the internal bone structures have undergone essentially the same procedure.  The old hip joint was removed by the surgeon and replaced on with an artificial one that is either bonded with cement or made of a porous structure that will allow bone tissue to grow into and around it, subsequently making it very secure.  Recovery time will also depend on the overall health of the patient prior to the procedure. Here are some things to keep in mind during recovery from hip replacement surgery:
  • Remember to take all prescribed medications.  Pain medication can be gradually reduced as healing takes place.  It is important to take blood thinners for ten days or so.
  • Rehabilitation services will provide a walker, cane or crutches post-surgery.  The amount of weight that can be borne on replaced hip immediately depends upon whether it was cemented in place or not.
  • A physical therapist helps with re-learning how to walk and do various activities of daily living in safe ways within a few days after surgery.  They can provide an exercise program to facilitate faster healing and return to normal routines.
  • Certain activities such as as sitting on low chairs, beds and toilets are restricted for a while after surgery because they can place too much stress on the new hip joint before it has had a chance to properly heal.

Wednesday, December 27, 2017

Bariatric Surgery Washington DC Requires Changes to Eating Habits

Bariatric surgery Washington DC is surgery to help you lose weight, but the procedure alone will not yield results.  Successful results after bariatric surgery DC require a life-long commitment to healthy eating habits.

Portion sizes after bariatric surgery Washington DC

One of the biggest changes that you will have to make after bariatric surgery DC is that your portion sizes will need to be much smaller.  Bariatric surgery procedures DC alter your stomach so that it holds only a small amount of food.  A normal stomach can hold about 6 cups of food, but the capacity of your new stomach will depend on your surgeon and which bariatric surgery options Washington DC you chose.  Laparoscopic banding creates an adjustable pouch that usually has a capacity between ½ cup and 1 cup.  If you chose gastric sleeve bariatric surgery DC, your stomach will hold about 10 ounces of food.  A stomach after gastric bypass may initially only hold about 2 tablespoons of food, but that can change as your stomach heals and stretches.

Eat several small meals a day after bariatric surgery DC

The small portion sizes required following bariatric surgery DC will mean that you can no longer eat the traditional three meals a day.  Instead, your bariatric surgery doctors Washington DC will likely recommend that you eat 5-6 small meals per day.

Monitor your intake of liquids

With or without bariatric surgery procedures DC, staying hydrated is an important part of staying healthy and after bariatric surgery DC you will have to put more thought into how you do so.  Even with a small stomach pouch, if you drink a lot of high-calorie beverages they may go right through your stomach and keep you from losing a significant amount of weight.  Water is the best choice for staying hydrated, and your bariatric surgery doctors Washington DC may recommend that you do not drink during your meals so you do not fill your small stomach with only liquids.

Be aware of nutritional deficiencies

Another change that you will have to make after bariatric surgery DC is that you will have to make sure that you are getting enough nutrients and you may be monitored for nutritional deficiencies.  Some bariatric surgery options Washington DC (specifically gastric bypass) can lead to serious nutritional deficiencies so you will have to read food labels carefully and visit your doctor regularly for checkups.  Visit www.medstarwashington.org to learn more about bariatric surgery options Washington DC.

Tuesday, December 19, 2017

Total Hip Replacement Washington DC due to Arthritis

Your hips are ball and socket joints on either side of your pelvis.  They allow motion and stability, but because they bear your weight they are susceptible to damage.  The most common cause of a break down of tissue in the hip is arthritis.  Arthritis can be mild, but when it becomes severe a total hip replacement Washington DC is sometimes needed.

Arthritis

Arthritis is a chronic condition that can cause pain and limited movement in joints.  It can affect any joint in the body, but some of the most commonly affected joints are the hands, knees, and hips.  The cause of arthritis depends on the type of arthritis.  The two most common types are called osteoarthritis and rheumatoid arthritis.

Rheumatoid arthritis rarely requires hip replacement surgery DC

Rheumatoid arthritis is less common than osteoarthritis.  Rheumatoid arthritis is an autoimmune disorder, meaning that your body’s immune system attacks its own healthy cells and tissues.  It causes inflammation of the joints and can affect how they look and function.  Rheumatoid arthritis can affect any joint, but it is most common in the hands so it is rare that rheumatoid arthritis leads to hip replacement surgery DC.

Total hip replacement Washington DC and osteoarthritis

Osteoarthritis is the most common type of arthritis.  Your joints have cartilage to help them move smoothly, and osteoarthritis is the break down of this cartilage.  It can lead to pain and limited range of motion.  It is one of the most common conditions to lead to hip replacement surgery Washington DC because it is usually worse in weight bearing joints.  It is usually caused by normal wear and tear, so those who are older and who are overweight are more likely to need hip replacement surgery DC due to osteoarthritis.

Hip replacement surgery Washington DC

When your doctor determines that the breakdown of cartilage in your hip is severe enough that medication and other nonsurgical treatments are not enough, he or she may recommend hip replacement surgery Washington DC.  During hip replacement surgery DC, your doctor removes the top of your femur and part of the socket.  Your doctor finishes your hip replacement surgery Washington DC by putting artificial parts in their place. To learn more about hip replacement surgery DC, visit http://www.medstarwashington.org/our-services/orthopaedics/treatments/hip-surgery/.

Friday, December 15, 2017

Diagnosing Pituitary Tumors Washington DC and Choosing a Surgical Treatment

Diagnosing pituitary tumors Washington DC usually includes imaging tests to determine the size and exact location of the tumor.  After diagnosis, treatment often includes surgery and the imaging tests can help your doctor decide what type of surgery is right for you.  The goal of the surgery is to remove as much of the tumor as possible.  This is usually done using an endoscopic procedure, but sometimes a procedure called a craniotomy is necessary.

Diagnosing pituitary tumors Washington DC and preparing for surgery

Before surgical pituitary treatments Washington DC, sometimes other treatments such as radiation therapy will be needed.  Radiation uses x-rays to kill cancer cells and can be effective before surgery by shrinking the tumor and making it easier to remove.  If the pituitary tumor is functional (meaning that it produces excess hormones) you may be put on medication before your surgery to block hormones and lessen symptoms.

Endoscopic pituitary tumor treatments Washington DC

Endoscopic pituitary tumor treatments Washington DC use a long flexible tube called an endoscope.  The endoscope has a light and a camera and sends the image to a screen so your doctor can see.  It is usually inserted through the nose, but sometimes it needs to be inserted through an incision behind your upper lip.  The doctor uses the endoscope and tiny tools to remove the tumor in small pieces.  This is the most common surgical pituitary tumor treatment Washington DC.

Craniotomy for pituitary tumors DC

If the tumor is very large or has affected the brain or nerves, your doctors may need to preform a craniotomy.  During this procedure, your doctor makes two incisions to access the brain through the skull.  Your surgeon uses endoscopic tools to see the tumor and nearby structures and removes the tumor.


After your pituitary tumor treatments Washington DC

After endoscopic pituitary tumor treatments Washington DC, most people need to spend a few days in the hospital.  After a craniotomy, more recovery time may be needed.  During this time, you will be closely monitored by nurses to track pituitary function.  You can learn more about pituitary tumor treatments Washington DC at www.medstarwashington.org/.